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General NPI Number Information
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NPI Number | 1841328796
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Entity Type | Organization
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Legal Business Name | CENTER FOR PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8800 UNIVERSITY PKWY C 2
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City | PENSACOLA
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State | FL
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Zip | 32514-4927
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Country | US
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Telephone | 850-478-1166
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Fax | 850-478-4878
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Provider Business Mailing Address
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Address Line | 8800 UNIVERSITY PKWY C 2
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City | PENSACOLA
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State | FL
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Zip | 32514-4927
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Country | US
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Telephone | 850-478-1166
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Fax | 850-478-4878
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Authorized Official
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Title or Position | PARTNER
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Name | GARNET HOLMES
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Credential | L.M.H.C.
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Telephone | 850-478-1166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY0002873
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH0002659
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License Number State | FL
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